Setting up a triage telephone line for women in early labour

Weavers, Annette; Nash, Kate

doi:10.12968/bjom.2012.20.5.333

Cited by 10 publications

(6 citation statements)

References 3 publications

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“…On the basis of this review a telephone triage line was implemented for six months and then evaluated. and the evaluation showed a high degree of satisfaction among women with the service and a significant improvement in midwives discussing coping strategies with women in early labour, an increase in the use of the midwifery-led unit and in normal birth rate of low-risk first-time mothers (Weavers and Nash, 2012). These findings led the organisation to open a 24 hour telephone triage line.…”

Section: Introductionmentioning

confidence: 94%

“…In spite of any amount of preparation, most women felt uncertainty was the central issue. Weavers and Nash (2012), two consultant midwives, provided an overview of a collaborative service improvement project undertaken by midwives at the Royal Berkshire NHS Foundation Trust. The overall aim was to improve services for women in early labour through an audit reviewing the early labour service, where most women felt that a telephonic advice service was very calming and reassuring.…”

Section: Introductionmentioning

confidence: 99%

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‘Not in established labour’: Outcomes for women cared for in an Irish antenatal ward

Panda

Begley

2014

British Journal of Midwifery

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Key points Women who self-refer to a maternity hospital due to labour-like symptoms find it stressful and confusing to be told they are 'not in established labour'  The outcome of care for women admitted to the antenatal ward of a large Dublin maternity hospital at term, with labour-related symptoms but not in established labour, was unknown  A retrospective study was conducted on the charts of 47 of women admitted to the hospital to examine outcomes for these women who experienced midwifery care while awaiting the onset of active labour  Seventy-two per cent of women were transferred to delivery suite in active labour, and 28% required augmentation of labour; only one woman had a caesarean section birth  Twenty-three women (49%) had at least one injection of Pethidine in the antenatal ward  Women admitted to the antenatal ward to await establishment of labour need quality time from the midwife, and needs-based care, to make each woman's birthing experience a positive and memorable one AbstractAn audit was conducted in the Coombe Women and Infants University Hospital, Dublin, Ireland in November 2012 with 47 women in early labour, through retrospective review of charts. The aim was to ascertain the outcomes of labour and describe the interventions performed by midwives for women admitted to the antenatal ward at term gestation with labour-related symptoms. The most common reason for transfer of women to labour ward was establishment of labour (72.34%) and, of these women, only a few (35.29%) needed augmentation of labour. Among the women transferred in active labour, 97.05% had vaginal births with an average duration of labour of 4.1 hours (with no augmentation) and 5.3 hours (with augmentation). All women transferred for augmentation of labour (27.66%) had vaginal births. Women admitted to the antenatal ward to await establishment of labour need quality midwifery care to make their birthing experience a positive and memorable one.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

‘Not in established labour’: Outcomes for women cared for in an Irish antenatal ward

Panda

Begley

2014

British Journal of Midwifery

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“…While studies have suggested that home-based versus telephone assessment and support, (Janssen et al, 2006, Weavers andNash, 2012), social support (Hodnett et al, 2008), and an algorithm for defining active labour are all likely to contribute both to women's knowledge and behaviour changes, randomised controlled trials have so far failed to demonstrate improvements in maternal and neonatal outcomes. Thus, many questions regarding the relationship between women's experiences of early labour and birth outcomes remain to be addressed (Janssen et al, 2009, Lauzon andHodnett, 2001).…”

Section: Introductionmentioning

confidence: 99%

A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

et al. 2015

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A balancing act in an unknown territory: A metasynthesis of first-time mothers' experiences in early labour, Midwifery, http://dx.doi.org/10. 1016/j.midw.2014.11.007 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A metasynthesis of first-time mothers' experiences in early labour

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“…Dixon et al (2013) found that women in early labour were reassured by contacting a midwife they knew, felt comforted by talking to her and consequently confident to stay at home during the latent phase. When continuity of carer and home visiting cannot be provided, the introduction of a telephone triage dedicated to early labour may be a good alternative for childbearing women and their birth partners (Spiby et al, 2008;Weavers and Nash, 2012).…”

Section: Discussionmentioning

confidence: 99%

First-time mothers’ experiences of early labour in Italian maternity care services

et al. 2016

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Objective. To explore first-time mothers' experiences of early labour within Italian maternity care services in the event that women are admitted to hospital or advised to return home after maternity triage assessment. Setting. One second-level Maternity Hospital in northern Italy with an obstetric unit for both low and high-risk women. Participants. Fifteen first-time mothers in good general health with spontaneous labour at term of a low-risk pregnancy that accessed the maternity triage during the latent phase of labour, and were either admitted at the hospital or advised to return home. Design. Qualitative interpretive phenomenological study. One face-to-face recorded semistructured interview was conducted with each participant 48-72 hours after birth. Findings. Four key themes emerged from the interviews: a) recognising early labour signs; b) coping with pain at home; c) seeking reassurance from healthcare professionals; d) being admitted to hospital versus returning home. Uncertainty about the labour progress and the need for reassurance was referred by women as the main reasons for going to hospital in early labour. An ambivalent feeling was reported by the participants when being admitted to hospital in early labour. In fact, while in the first instance the women felt reassured, some felt dissatisfied later on due to the absence of one-to-one dedicated care during the latent phase of labour. When advised to go back home, a number of women manifested feelings of disappointment, anger, fear, discouragement and anxiety for not having been admitted to hospital; however, some participants reported a subsequent feeling of comfort with being at their own home and putting in place the suggestions provided by the midwives at the moment of maternity triage assessment. The guidance provided by midwives during triage assessment seemed to be the key factor influencing women's satisfaction when advised either to return home or to stay at the hospital during the latent phase of labour. Conclusions and implications for practice. During antenatal classes and clinics, midwives should provide clear information and advice on early labour to increase women's confidence, self-efficacy and decrease their anxiety and fear. During early labour, appropriate maternity care services should be offered according to individual needs. When home visits are not provided by midwives, a telephone triage run by midwives should be considered as a routine service for the first point of contact with women during the latent phase of labour.

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Setting up a triage telephone line for women in early labour

Cited by 10 publications

References 3 publications

‘Not in established labour’: Outcomes for women cared for in an Irish antenatal ward

‘Not in established labour’: Outcomes for women cared for in an Irish antenatal ward

A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

First-time mothers’ experiences of early labour in Italian maternity care services

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